Individual
MR. ROBERT J. MCKENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
640 S STATE ST, DEPT OF ANES, DOVER, DE 19901-3530
(302) 744-7088
(302) 744-6407
Mailing address
640 S. STATE STREET, POB 3RD FLOOR, DOVER, DE 19901
(302) 480-1688
(302) 480-9807
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
L1-0034455 / L6-0A00
DE
Other
Enumeration date
06/25/2005
Last updated
01/31/2018
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